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Open-ended Vasectomy, Sperm Granuloma, and Postvasectomy Orchialgia. (PDF, 13 MB) Fertility and Sterility, 1979. Any of the following can cause a man to have a low sperm count or abnormal sperm: Varicocele — an abnormal collection of bulging veins above the testicle; they’re the most common cause of correctable male infertility, accounting for 38% of cases Undescended testicle Infections in the testicle (orchitis), the prostate (prostatitis), or elsewhere in the body that causes a fever Chemotherapy for cancer Medicines such as anabolic steroids or anti-seizure medicines Genetic abnormalities Hormone problems In some cases, these problems can be reversed, but other times they can’t. Pelvic inflammatory disease or STIs like chlamydia and gonorrhea may cause these blockages in the fallopian tubes. Cervical surgery can sometimes cause scarring or shortening of the cervix.

Several methods are available to detect antisperm antibodies, such as radioimmunoassay and enzyme-linked immunosorbent assay, but the most specific test is the immunobead test. One of the best known is the HFEA – The UK's regulator for fertility treatment and embryo research. Many health conditions can make it hard to get pregnant. CAH may be due to the congenital deficiency of one of several adrenal enzymes, the most common of which is 21-hydroxylase deficiency.

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Laparoscopic techniques have also been developed in the field of veterinary medicine. Undescended testicles During fetal development one or both testicles may fail to descend from the abdomen into the sac that normally contains the testicles. A causal therapeutic approach does not exist and an important component is the prevention of hyperstimulation syndrome.

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Intracytoplasmic Sperm Injection. (PDF, 4 MB) Chapter 47 from textbook Current Therapy in Equine Reproduction, 2006. In natural intercourse, only a fraction of the sperm make it into the woman’s genital tract.

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Reduced fecundability in women with prenatal exposure to cigarette smoking. Treatment of tubal obstruction generally requires referral for subspecialty care. Age, socio-economic, cultural and other environmental factors: Over the last few years, age has become the most common of these causes of infertility. Tubal obstruction due to elective sterilization is better repaired with microsurgery, although the modern tendency is to perform the anastomosis using operative laparoscopy. [33, 143, 144] In either event, knowing in advance what type of tubal ligation technique was used is important. Coutifaris C, Myers ER, Guzick DS, et al.; NICHD National Cooperative Reproductive Medicine Network. 8 Involvement in group counseling and exercise is more effective than weight loss advice alone. Empirical treatment with controlled ovarian hyperstimulation followed by intrauterine insemination has improved the pregnancy rate in those patients. [214] If pregnancy does not occur during the first 4 intrauterine insemination cycles, other alternatives include IVF or any of the associated assisted reproductive technologies procedures.Background Infertility is a common clinical problem. Some women are infertile because their ovaries do not mature and release eggs. A relationship also exists between obesity and erectile dysfunction (ED). Patients generally have long arms and legs due to a delayed closure of the epiphyseal plates, delayed puberty, and atrophic testis. The use of Epididymal and Testicular Spermatozoa for Intracytoplasmic Sperm Injection: The Genetic Implications for Male Infertility. (PDF, 8 MB) Human Reproduction, 1995. Women in group III can conceive only with oocyte donation and in vitro fertilization. It binds in a part of the brain called the hypothalamus, which is essential in stimulating the ovary to grow and release an egg. Analyses of the CFTR Gene in 67 Patients. (PDF, 4 MB) The American Journal of Human Genetics, 1995.